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NPI Code Detail

MEDICARE: RITA MERRIQUE LCSW

MEDICARE: RITA MERRIQUE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social WorkerAZ

General Provider Information

NPI Number : 1033232780
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA MERRIQUE LCSW
Provider Business Mailing Address
First Line : 6218 S 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-4211
Country : US
Telephone Number : 602-243-4800
Fax Number : 602-304-3132
Provider Business Practice Location Address
First Line : 6218 S 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-4211
Country : US
Telephone Number : 602-243-4800
Fax Number : 602-304-3132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ RITA MERRIQUE LCSW” Practice Location

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